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1720085061

NPI Code Detail

MEDICARE: DR. DMITRY KONSKY D.O.

MEDICARE: DR. DMITRY KONSKY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	225308	NY
2	207R00000X	Internal Medicine Physician	225308	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	138AA2	OTHER	NY	EMPIRE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	21234307347	OTHER	NY	BEECHSTREET
4	2361642	OTHER	NY	UNITED HEALTHCARE
5	281699B	OTHER	NY	MAGNACARE
6	KD5308	OTHER	NY	ATLANTIS
7	P3612466	OTHER	NY	OXFORD
8	4C9819	OTHER	NY	HEALTHNET
9	9295519	OTHER	NY	PHCS
10	2100417	OTHER	NY	FIRSTHEALTH
11	2589947	OTHER	NY	GHI
12	4525743	OTHER	NY	CIGNA
13	202203P	OTHER	NY	HIP
14	431975074	OTHER	NY	1199 NATIONAL BENEFIT FUN
15	431975074	OTHER	NY	HORIZON
16	7826491	OTHER	NY	AETNA

General Provider Information

NPI Number	:	1720085061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DMITRY KONSKY D.O.

Provider Business Mailing Address
First Line	:	31 SARAH DR
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6321
Country	:	US
Telephone Number	:	469-371-8466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HEALTHY WAY
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1551
Country	:	US
Telephone Number	:	516-632-3666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	03/01/2023

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Directions to “ DR. DMITRY KONSKY D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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